# RICHARD L WEITZEL JR MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982307203
- **Authorized official:** RICHARD L WEITZEL MD (SOLE MBR)
- **Authorized official phone:** (330) 727-9490

## Contact information

- **Practice address:** 405 NILES CORTLAND RD SE STE 201, WARREN, OH 44484-2460
- **Practice address phone:** (330) 372-2121
- **Practice address fax:** (330) 372-2120
- **Mailing address:** 405 NILES CORTLAND RD SE STE 201, WARREN, OH 44484-2460
- **Mailing address phone:** (330) 372-2121
- **Mailing address fax:** (330) 372-2120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 03/24/2023